李淑华, 于晓楠, 汤显, 钱晓华, 汤素文, 杨芸, 杨彦基, 张格, 龚向真. 2009—2012年上海市成人麻疹流行特征及影响因素分析[J]. 上海预防医学, 2013, 25(12): 662-665.
引用本文: 李淑华, 于晓楠, 汤显, 钱晓华, 汤素文, 杨芸, 杨彦基, 张格, 龚向真. 2009—2012年上海市成人麻疹流行特征及影响因素分析[J]. 上海预防医学, 2013, 25(12): 662-665.
LI Shu-hua, YU Xiao-nan, TANG Xian, YANG-Yun, QIAN Xiao-hua, TANG Shu-wen, YANG Yan-ji, ZHANG Ge, GONG Xiang-zhen. Epidemiological characteristics and impact factors of adult measles during 2009-2012 in shanghai[J]. Shanghai Journal of Preventive Medicine, 2013, 25(12): 662-665.
Citation: LI Shu-hua, YU Xiao-nan, TANG Xian, YANG-Yun, QIAN Xiao-hua, TANG Shu-wen, YANG Yan-ji, ZHANG Ge, GONG Xiang-zhen. Epidemiological characteristics and impact factors of adult measles during 2009-2012 in shanghai[J]. Shanghai Journal of Preventive Medicine, 2013, 25(12): 662-665.

2009—2012年上海市成人麻疹流行特征及影响因素分析

Epidemiological characteristics and impact factors of adult measles during 2009-2012 in shanghai

  • 摘要: 目的分析上海市成人麻疹流行特征及其影响因素。方法采用描述性流行病学方法,对2009-2012年上海市成人麻疹发病资料进行流行病学分析,并以虹口区为监测点,采用二阶段随机抽样的方法对2010年18岁以上成人麻疹抗体水平进行检测分析。结果除8月龄以下小儿外,成人是麻疹发病的主要群体,无免疫史和免疫史不详是影响成人麻疹发病的主要因素,也是影响成人麻疹抗体水平及其分布的主要因素,与我国防治麻疹的历史有密切关系。结论加强成人免疫应当是目前提高成人麻疹免疫屏障,减少发病的主要途径。建议可以加强对10~15岁儿童的免疫,以达到提高成人整体抗体水平的目的。

     

    Abstract: Objective To analyse the impact factors for adult measles and its epidemiological characteristics in shanghai. Methods The data on adult measles incidence during 2009-2012 were analyzed using descriptive epidemiology method.And the blood antibody titers was measured by ELISA method in the adult over 18 years old in Hong Kou District of Shanghai. Results Zero dose vaccination and vaccination failure were the key reasons for the increase of adult measles, which were closely related to our history of prevention and treatment of measles. Conclusion Adult immunization should be strengthened to improve immune barrier and to reduce the measles incidence in adults, and it is suggested that the immunization for 10-15 year-olds should be strengthened so as to improve the overall antibody levels in adults as a whole.

     

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